third party administration (TPA) services

TPA for insurance claim handling in Ireland

Why choose our TPA services

Managing claims programmes can be complex and resource‑intensive. Our TPA services combine experienced claims professionals, proven processes and market‑leading technology to support superior customer outcomes, cost control and actionable data insights.

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the challenge

Claims complexity is reshaping insurance in Ireland

The insurance market is operating under sustained pressure. Claims inflation across motor and property lines continues to erode margins, while heightened Central Bank of Ireland scrutiny increases compliance risk. At the same time, fluctuating claim volumes and rising customer service expectations make consistent performance increasingly difficult to maintain within traditional in-house models.

the solution

A structured TPA model built for control and scale

Sedgwick’s Third-Party Administration framework embeds cost governance, indemnity control and specialist technical expertise directly into every programme. Through centralised operational hubs supported by local market knowledge, we deliver real-time data transparency, forensic insight and scalable claims infrastructure across a wide range of products.

How the TPA model works

We are flexible and creative with our TPA services. Each programme we deliver is unique.

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Extensive claims expertise

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Sedgwick delivers fully managed TPA solutions across a wide range of sectors, combining technical expertise, specialist adjusters and scalable operational hubs. Our portfolio expertise includes:

Property

Liability

Motor

Accident & Health

Marine

Specialty

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Coverage designed for underwriting confidence

Our model supports loss ratio improvement, leakage prevention and consistent customer experience across every line of business.


Regulatory and governance framework

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Sedgwick’s TPA operating model embeds regulatory discipline and robust governance into every stage of the claims lifecycle. Our governance framework includes:

CBI-aligned standards

Full auditability

Regulatory MI pack

Quality assurance programme

Data and privacy protection

Underwriting insight packs

Compliance and risk management support

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In short — you gain the assurance of an CBI‑aligned model without expanding your own compliance overhead.


Get deeper insight into the changing claims landscape

The latest Claims Administration Intelligence Report examines the structural pressures reshaping claims — from rising severity and climate volatility to evolving regulation and fraud risk

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Integrated digital 
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Omni brings together the industry’s most expansive data set, AI, and ML to power the future of claims—delivering best-in-class outcomes, frictionless experiences, and unmatched insights for those we passionately serve.

Flexible engagement designed for insurers, MGAs and self-insured corporates

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We offer commercial structures that align incentives, enhance control and support scalable Ireland claims operations. Engagement options include:

Fully outsourced TPA model

Hybrid models

Per-claim pricing

Fixed-fee programmes

Outcome-aligned models

Short-term surge capacity

Delegated authority support

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Your programme is tailored to your portfolio size, risk appetite, regulatory requirements and cost objectives.


Speak to a TPA specialist

Get expert advice to guide your organisation.

FAQ

Still have questions or need help?

Discuss your Ireland claims model

We’ll review your current claims structure, cost leakage exposure and regulatory requirements — and outline how a structured TPA model can improve control and scalability.

No obligation discussion
Ireland-based TPA leadership
CBI-aligned framework
Response within 1 business day
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